UNITED STATES DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
WASHINGTON, D.C. 20240
http://www.blm.gov
January 24, 2012
In Reply Refer To:
1114 (420) P
EMS TRANSMISSION 02/02/2012
Instruction Memorandum No. 2012-057
Expires: 09/30/2013
To: All Washington Office and Field Office Officials
Attn: Volunteer Coordinators
Forms Managers
From: Assistant Director, National Landscape Conservation System and Community Partnerships
Subject: Retirement of Certain Bureau of Land Management (BLM) Volunteer Program Forms
Program Area: Volunteers
Purpose: This Instruction Memorandum (IM) provides formal notification that the following BLM Volunteer Program forms are now obsolete and any unused copies should be discarded:
Form 1114-1 Volunteer Performance Evaluation
Form 1114-2 Volunteer Identification Card
Form 1114-4 Individual Volunteer Services Agreement
Form 1114-5 Group Volunteer Services Agreement
Form 1114-5a Parental Approval Form for Volunteers Under 18 Years of Age
Form 1114-7 Volunteer and Hosted Worker Report
Form 1114-9 Volunteer Appreciation Certificate
Form 1114-10 Volunteer Application
Policy/Action: Effective immediately, BLM Forms 1114-1, 1114-2, 1114-4, 1114-5, 1114-5a,
1114-7, 1114-9, and 1114-10 are cancelled. All BLM organizations should destroy any remaining inventory of these forms not currently in use. (Existing forms 1114-4 and 1114-5 may be renewed for long-term volunteers). The forms will no longer be available through the Printed
Materials Distribution Services at the National Operations Center nor from the BLM Internal Forms Website (Forms Central) at http://web.blm.gov/blmforms.
Time Frame: This Instruction Memorandum is effective immediately.
Background: Explanations for the retirement of the aforementioned forms are as follows:
- Interagency Optional Form 301a (“Volunteer Services Agreement for Natural Resources Agencies for Individuals or Groups”) accommodates all information formerly addressed by BLM Forms 1114-1, 1114-4, 1114-5, and 1114-5a. The form is available on the BLM Volunteer Program intranet at http://web.blm.gov/wo-170/wo-172/wo172_vol/resources/downloads/12_volunteer%20forms/OF%20301A.pdf as well as the General Services Administration website at http://contacts.gsa.gov/webforms.nsf/0/37BABF24EBA30684862573A90059902A/$file/OF%20301A.pdf.
- The Department of the Interior Access Card has replaced Form 1114-2.
- BLM Volunteer Program Annual Report submissions have replaced data submitted via Form 1114-7.
- Form 1114-9 may be replaced by locally-produced, customized certificates of appreciation. Sample certificates developed by the Washington Office are also available on the BLM Volunteer Program intranet at http://web.blm.gov/wo-170/wo-172/wo172_vol/resources/resources.html.
- The interagency Volunteer.gov volunteer recruitment and application website at http://www.volunteer.gov and interagency Optional Form 301 (“Volunteer Application for Natural Resources Agencies”) have obviated the need for Form 1114-10. Form 301 is available on the BLM Volunteer Program intranet at http://web.blm.gov/wo-170/wo-172/wo172_vol/resources/downloads/12_volunteer%20forms/OF%20301.pdf as well as the General Services Administration website at http://contacts.gsa.gov/webforms.nsf/0/FA3E502659C02263862572F300485279/$file/OF%20301.pdf.
Budget Impact: None.
Manual/Handbooks Affected: BLM Manual Section 1114, “Volunteers”
Coordination: This document was coordinated with Karen Wrenn (OC-652), BLM Electronic Forms Manager.
Contact: Please address any questions or concerns regarding this IM to Bibi Booth of the Division of Education, Interpretation, and Partnerships at Bibi_Booth@blm.gov or
(202) 912-7451.
Signed by: Authenticated by:
Carl Rountree Robert M. Williams
Assistant Director, National Landscape Division of IRM Governance,WO-560
Conservation System and Community Partnerships
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